HOLISTIC WELLNESS SOLUTIONS LLC (NPI# 1063932119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063932119 |
| Entity Type | Organization |
| Organization Name | HOLISTIC WELLNESS SOLUTIONS LLC |
| Practice Address |
3099 Sullivant Ave Ste H Columbus OH 43204 |
| Mailing Address |
3099 Sullivant Ave Ste H Columbus OH 43204-1895 |
| Practice Telephone | 6143712303 |
| Practice Fax Number | 8009059950 |
| Mailing Telephone | 6143712303 |
| Mailing Fax Number | 8009059950 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2020-10-04 |
| Authorized Official Name | ALICJA MATUSIAK (OWNER/PROVIDER) |
| Authorized Official Telephone | 6143712303 |
| Authorized Official Credential | PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0116587 | 05 |
| Other Name | Type Code |
|---|---|
| Holistic Wellness Solutions | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4889 Sinclair Rd Ste 215, Columbus, OH 432295434 | 6143712303 | 8009059950 |
| 3099 Sullivant Ave Ste H, Columbus, OH 43204 | 6143712303 | 8009059950 |
| 3857 N High St Ste 200, Columbus, OH 432143752 | 6143712303 | |
| 505 Forest Ave, Zanesville, OH 437012927 | (614) 371-2303 | 8009059950 |
| 770 E Main St Ste A, Columbus, OH 432051715 | 6143712303 | 8009059950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261929 | Holistic Wellness Solutions LLC | Social Worker | 3099 Sullivant Ave Ste H, Columbus, OH 43204-1800 | 2020-10-08 |
| Street Address |
3099 SULLIVANT AVE STE H |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174757678 | Alicja Matusiak | Social Worker | 3099 Sullivant Ave Ste H, Columbus, OH 43204-1895 | 2009-05-12 |
| 1588261929 | Holistic Wellness Solutions LLC | Social Worker | 3099 Sullivant Ave Ste H, Columbus, OH 43204-1800 | 2020-10-08 |
| 1952923310 | Kimberly Rankin | Registered Nurse | 3099 Sullivant Ave Ste H, Columbus, OH 43204-1800 | 2020-05-08 |
| 1821624107 | Brandy N Dodge | Technician | 3099 Sullivant Ave Ste H, Columbus, OH 43204-1800 | 2020-03-18 |
| 1154830883 | Rachel Colson | Registered Nurse | 3099 Sullivant Ave Ste H, Columbus, OH 43204-1800 | 2017-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593587 | Raymond Jay Ellis | Technician | 2455 Sullivant Ave, Columbus, OH 43204 | 2019-05-13 |
| 1245791581 | Dedicated Columbus Ohio, LLC | Non-Pharmacy Dispensing Site | 50 North Wilson Road, Columbus, OH 43204 | 2019-03-28 |
| 1770076192 | Morgan Elizabeth Garczyk | Optometrist | 2300 W Broad St Fl 2, Columbus, OH 43204 | 2018-06-11 |
| 1093240731 | Jerusha R Mcclendon | Social Worker | 3188 Mary Ave, Columbus, OH 43204 | 2017-05-01 |
| 1790235588 | American Senior Care Center LLC | Home Health | 3105 W Broad Street, Suite 2, Columbus, OH 43204 | 2016-10-05 |
| 1184082083 | Jordan Fontes | Nurse Practitioner | 2800 West Broad St, Columbus, OH 43204 | 2016-02-05 |
| 1073971248 | John R Sadaghiani | Dentist | 45 N. Wilson Rd, Columbus, OH 43204 | 2016-02-03 |
| 1245615806 | Brittany Muse | Occupational Therapist | 3615 Graybeck Drive, Columbus, OH 43204 | 2015-07-24 |
| 1528453842 | Sadaf Khan | Internal Medicine | 50 N Wilson Road, Columbus, OH 43204 | 2015-04-02 |
| 1053722629 | Kristen Basch | Pharmacist | 4248 Ongaro Dr, Columbus, OH 43204 | 2014-05-16 |
| Find all providers in zip 43204 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548873680 | Nicollette Pizzoferrato | Nurse Practitioner | 600 W Goodale St Apt 261, Columbus, OH 43215-1904 | 2020-08-28 |
| 1750994125 | Soumi Dey | Nurse Practitioner | 2085 Citygate Dr, Columbus, OH 43219-3656 | 2020-08-26 |
| 1063024065 | Tanna Lynn Lok | Nurse Practitioner | 4545 Fisher Rd, Columbus, OH 43228-8923 | 2020-08-20 |
| 1548878937 | Tracy King | Nurse Practitioner | 2561 Bryden Rd, Columbus, OH 43209-2135 | 2020-07-21 |
| 1598386641 | Brina Nakia Smith | Nurse Practitioner | 3 Kingsridge Ct, Columbus, GA 31907-3730 | 2020-04-29 |
| 1770111361 | Donna Betty Mitchell | Nurse Practitioner | 48 Northstar Dr, Columbus, GA 31907-6348 | 2020-03-30 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1164073227 | Victoria Hargrove | Nurse Practitioner | 2473 Highway 69 S, Columbus, MS 39702-9248 | 2019-09-20 |
| 1700431657 | Ohio Tms Clinic LLC | Nurse Practitioner | 3099 Sullivant Ave, Columbus, OH 43204-1895 | 2019-08-07 |
| 1780238204 | Gail Lorine Jones | Nurse Practitioner | 820 Brookstone Centre Pkwy # Ga31904, Columbus, GA 31904-9246 | 2019-08-01 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.